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Checkpoint Inhibitor

Immunotherapy for Prostate Cancer (IMPACT Trial)

Phase 2
Waitlist Available
Led By Ajjai Alva, MD
Research Sponsored by University of Michigan Rogel Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Subjects with prostate cancer must have ongoing androgen deprivation with total serum testosterone < 50 ng/dL
Subjects must have a histologic or cytologic diagnosis of metastatic adenocarcinoma of the prostate without small cell histology OR another type of metastatic carcinoma
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 24 months post treatment
Awards & highlights

IMPACT Trial Summary

This trial will study whether a immunotherapy drug combo can help treat prostate cancer, specifically in patients with a loss of CDK12 function.

Who is the study for?
Adults over 18 with metastatic prostate or other cancers and CDK12 mutations can join. They must have a performance status of 0-2, measurable cancer progression, and adequate organ function. Women must not be pregnant and all participants should agree to contraception. Exclusions include recent trial participation, organ transplants, certain infections, prior immunotherapy treatments, need for high-dose steroids or having autoimmune diseases.Check my eligibility
What is being tested?
The trial is testing the effectiveness of nivolumab alone and combined with ipilimumab in treating metastatic cancers with CDK12 loss. It starts with both drugs together followed by just nivolumab for patients with prostate cancer and similar treatment for those with other solid tumors.See study design
What are the potential side effects?
Nivolumab and ipilimumab may cause immune-related side effects like inflammation in various organs (e.g., lungs or intestines), skin rash, hormone gland problems (like thyroid issues), fatigue, infusion reactions (symptoms related to the administration of these drugs), as well as potential liver or kidney issues.

IMPACT Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am on hormone therapy for prostate cancer with low testosterone levels.
Select...
My cancer is a type of prostate cancer that has spread, but it's not small cell cancer.
Select...
My cancer can be measured on scans and is not prostate cancer.
Select...
My prostate cancer has worsened in the last 6 months, shown by rising PSA levels.
Select...
My cancer has a CDK12 mutation.
Select...
I am 18 years old or older.
Select...
I can take care of myself and am up and about more than half of my waking hours.

IMPACT Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 24 months post treatment
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 24 months post treatment for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
The Proportion of Patients With CDK12 Loss of Function Metastatic CRPC That Respond to Treatment.
Secondary outcome measures
Duration of Therapy (DOT)
Overall Survival Time
PSA Progression Free Survival Time
+5 more

Side effects data

From 2022 Phase 3 trial • 541 Patients • NCT02041533
57%
Nausea
54%
Anaemia
51%
Fatigue
39%
Decreased appetite
36%
Malignant neoplasm progression
32%
Constipation
31%
Diarrhoea
30%
Cough
29%
Vomiting
29%
Dyspnoea
25%
Oedema peripheral
24%
Back pain
21%
Pyrexia
21%
Neutropenia
19%
Headache
19%
Hypomagnesaemia
18%
Arthralgia
16%
Asthenia
16%
Dizziness
16%
Neutrophil count decreased
15%
Thrombocytopenia
15%
Insomnia
14%
Hyponatraemia
14%
Rash
14%
Weight decreased
14%
Platelet count decreased
13%
Blood creatinine increased
13%
White blood cell count decreased
12%
Hypokalaemia
12%
Pruritus
12%
Abdominal pain
12%
Pain in extremity
11%
Myalgia
11%
Alanine aminotransferase increased
11%
Aspartate aminotransferase increased
10%
Alopecia
10%
Dry skin
10%
Hypoalbuminaemia
10%
Muscular weakness
10%
Chest pain
10%
Dysgeusia
10%
Pneumonia
10%
Productive cough
9%
Abdominal pain upper
9%
Upper respiratory tract infection
9%
Hypothyroidism
9%
Mucosal inflammation
9%
Peripheral sensory neuropathy
8%
Lacrimation increased
8%
Nasopharyngitis
8%
Non-cardiac chest pain
8%
Epistaxis
8%
Haemoptysis
8%
Stomatitis
8%
Dysphonia
7%
Bronchitis
7%
Blood alkaline phosphatase increased
7%
Chills
7%
Hypertension
7%
Dehydration
7%
Hyperkalaemia
7%
Hyperglycaemia
7%
Lymphocyte count decreased
7%
Anxiety
6%
Leukopenia
6%
Hypophosphataemia
6%
Pleural effusion
6%
Neuropathy peripheral
6%
Pneumonitis
6%
Oropharyngeal pain
5%
Rash maculo-papular
5%
Hypotension
5%
Musculoskeletal chest pain
5%
Malaise
5%
Pain
5%
Dry mouth
5%
Urinary tract infection
5%
Dyspepsia
5%
Gamma-glutamyltransferase increased
5%
Depression
5%
Muscle spasms
4%
Fall
4%
Pulmonary embolism
3%
Metastases to central nervous system
3%
Myocardial infarction
3%
Febrile neutropenia
3%
Musculoskeletal pain
3%
Chronic obstructive pulmonary disease
2%
Sepsis
2%
Malignant pleural effusion
2%
General physical health deterioration
2%
Adrenal insufficiency
2%
Atrial fibrillation
2%
Cardiac failure
2%
Embolism
1%
Hypercalcaemia
1%
Neoplasm progression
1%
Small intestinal haemorrhage
1%
Femur fracture
1%
Pericardial effusion malignant
1%
Cancer pain
1%
Confusional state
1%
Pneumothorax
1%
Circulatory collapse
1%
Bone pain
1%
Atrial flutter
1%
Bronchial obstruction
1%
Superior vena cava syndrome
1%
Syncope
1%
Performance status decreased
1%
Pancytopenia
1%
Colitis
1%
Pericardial effusion
1%
Gastrointestinal haemorrhage
1%
Ileus
1%
Small intestinal obstruction
1%
Lung cancer metastatic
1%
Respiratory tract infection
1%
Respiratory failure
1%
Tumour pain
1%
Appendicitis
1%
Skin infection
1%
Ataxia
1%
Seizure
100%
80%
60%
40%
20%
0%
Study treatment Arm
Investigator Choice of Chemotherapy
Post Chemotherapy Optional Nivolumab
Nivolumab

IMPACT Trial Design

3Treatment groups
Experimental Treatment
Group I: Solid Tumors (non-prostate)Experimental Treatment2 Interventions
Patients with all other metastatic subtypes will be enrolled in cohort B
Group II: Metastatic CRPC with MonotherapyExperimental Treatment1 Intervention
Patients with metastatic castration resistant prostate cancer (mCRPC) will be enrolled in cohort C once enrollment to cohort A has been completed.
Group III: Metastatic CRPCExperimental Treatment2 Interventions
Patients with metastatic castration resistant prostate cancer (mCRPC) will be enrolled in cohort A.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Nivolumab
2014
Completed Phase 3
~4750
Ipilimumab
2014
Completed Phase 3
~2670

Find a Location

Who is running the clinical trial?

University of Michigan Rogel Cancer CenterLead Sponsor
293 Previous Clinical Trials
24,041 Total Patients Enrolled
Memorial Sloan Kettering Cancer CenterOTHER
1,933 Previous Clinical Trials
585,564 Total Patients Enrolled
University of California, San FranciscoOTHER
2,500 Previous Clinical Trials
15,236,415 Total Patients Enrolled

Media Library

Ipilimumab (Checkpoint Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03570619 — Phase 2
Cancer Research Study Groups: Solid Tumors (non-prostate), Metastatic CRPC with Monotherapy, Metastatic CRPC
Cancer Clinical Trial 2023: Ipilimumab Highlights & Side Effects. Trial Name: NCT03570619 — Phase 2
Ipilimumab (Checkpoint Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03570619 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many participants have been admitted into this clinical study?

"Unfortunately, this medical trial is not currently seeking enrolment. The research program was first announced in December 14th of 2018 and its requirements were last updated on August 1st 2022. If you're still looking for a clinical trial to join, there are presently 4361 studies involving metastatic cancers that need volunteers as well as 764 trials for Nivolumab which require participants."

Answered by AI

How many locations within the state are currently offering this clinical trial?

"This health study is currently enrolling individuals at 8 medical centres simultaneously. Specifically, those in Detroit, San Diego and New york can access treatment locally, while other enrollees may need to travel a bit further for participation."

Answered by AI

Has any additional research been conducted on Nivolumab?

"Presently, there are 764 active studies for Nivolumab with 86 of those in the Phase 3 stage. The majority of these investigations have been established near Pittsburgh, Pennsylvania yet 42751 other locations across the nation also run clinical trials related to this drug."

Answered by AI

Are there any vacancies open to prospective participants in this experiment?

"At the moment, this particular clinical trial is not enrolling patients. The study was first announced on December 14th 2018 and its latest update came out August 1st 2022. If you are searching for other trials, 4361 studies involving metastatic cancers have active recruitment while 764 additional studies concerning Nivolumab need participants at present."

Answered by AI

What health conditions can Nivolumab be employed to alleviate?

"Nivolumab is a popular anti-angiogenic therapy, and can be used to treat malignant neoplasms, advanced melanoma, and squamous cell carcinoma."

Answered by AI

To what degree is Nivolumab hazardous to individuals?

"There is some evidence indicating the safety of Nivolumab, so it received a score of 2. This implies that while there are no efficacy data points yet, there have been multiple rounds confirming its security profile."

Answered by AI

What aims is this medical experiment hoping to achieve?

"This medical trial will assess the efficacy of a drug over 24 months post-treatment, with primary outcome being the proportion of patients with CDK12 loss of function metastatic CRPC that respond to treatment. Secondary objectives involve measuring radiographic progression free survival time (rPFS), Progression free survival time (PFS) and Time to Progression (TTP). Radiographic progression is defined as at least 20% increase in target lesions relative to smallest sum since start of treatment or appearance of new lesions. PSA progression requires an initial decline from baseline followed by 25% rise beyond 2ng/mL for more than 4 weeks,"

Answered by AI
~9 spots leftby Apr 2025